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Strategic planning of operating room session allocation using stability analysis. 基于稳定性分析的手术室会期分配策略规划。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2021.1997651
Shiva Faeghi, Kunibert Lennerts, Stefan Nickel
{"title":"Strategic planning of operating room session allocation using stability analysis.","authors":"Shiva Faeghi,&nbsp;Kunibert Lennerts,&nbsp;Stefan Nickel","doi":"10.1080/20476965.2021.1997651","DOIUrl":"https://doi.org/10.1080/20476965.2021.1997651","url":null,"abstract":"<p><p>Operating room (OR) resources are limited, and for this reason there is usually a competition among surgeons to win them. However, the methods developed for allocating OR sessions are mostly based on optimisation methods which compensate the preferences of surgeons or surgical specialities in favour of the productivity of the entire OR department. This leads to conflict and dissatisfaction among surgeons. To overcome this problem, a methodology based on game theoretic solutions is presented in this paper that formulates the allocation problem as a simple game. The surgeons or specialities as players then jointly pursue the goal of achieving overall stability. Stability is defined and measured using a method called Power Index. The proposed method is then combined with the Monte-Carlo technique to deal with uncertainties. To demonstrate the capability of the suggested procedures, they are applied to a case study from the literature and a set of hypothetical scenarios.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208130/pdf/THSS_12_1997651.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Mind the gap: a review of optimisation in mental healthcare service delivery. 注意差距:精神卫生保健服务提供的优化审查。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2022.2035260
Sheema Noorain, Maria Paola Scaparra, Kathy Kotiadis
{"title":"Mind the gap: a review of optimisation in mental healthcare service delivery.","authors":"Sheema Noorain,&nbsp;Maria Paola Scaparra,&nbsp;Kathy Kotiadis","doi":"10.1080/20476965.2022.2035260","DOIUrl":"https://doi.org/10.1080/20476965.2022.2035260","url":null,"abstract":"<p><p>Well-planned care arrangements with effective distribution of available resources have the potential to address inefficiencies in mental health services. We begin by exploring the complexities associated with mental health and describe how these influence service delivery. We then conduct a scoping literature review of studies employing optimisation techniques that address service delivery issues in mental healthcare. Studies are classified based on criteria such as the type of planning decision addressed, the purpose of the study and care setting. We analyse the modelling methodologies used, objectives, constraints and model solutions. We find that the application of optimisation to mental healthcare is in its early stages compared to the rest of healthcare. Commonalities between mental healthcare service provision and other services are discussed, and the future research agenda is outlined. We find that the existing application of optimisation in specific healthcare settings can be transferred to mental healthcare. Also highlighted are opportunities for addressing specific issues faced by mental healthcare services.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0d/47/THSS_12_2035260.PMC10208133.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9523966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Multi-criteria decision-making methods applied in health-insurance underwriting. 多准则决策方法在健康保险承保中的应用。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2022.2085190
John Mourmouris, Thomas Poufinas
{"title":"Multi-criteria decision-making methods applied in health-insurance underwriting.","authors":"John Mourmouris,&nbsp;Thomas Poufinas","doi":"10.1080/20476965.2022.2085190","DOIUrl":"https://doi.org/10.1080/20476965.2022.2085190","url":null,"abstract":"ABSTRACT This study attempts to structure methodologically the health insurance underwriting process by applying Multi-criteria Decision-making (MCDM) analysis in health insurance underwriting. This is done by assigning a score to each health insurance applicant which can be used to determine whether he or she is accepted, rejected or accepted with special terms and conditions (such as exclusions, additional waiting periods and/ or surcharge). The introduction of MCDM approaches in health insurance underwriting enables the quantification of the selection criteria, the increased standardization and automation of the process and its alignment through quantitative indicators with the risk tolerance/ risk appetite of the insurer, and there lie the novelties of this research. The proposed methodology can be readily implemented by insurers with added value in the underwriting, risk management and distribution (sales & marketing) functions, as well as in the profitability of the company or the level of premium paid by the insured.","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10013473/pdf/THSS_12_2085190.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Trade, intellectual property, and the public health bearing. 贸易、知识产权和公共卫生影响。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2022.2062460
Julie Babyar
{"title":"Trade, intellectual property, and the public health bearing.","authors":"Julie Babyar","doi":"10.1080/20476965.2022.2062460","DOIUrl":"https://doi.org/10.1080/20476965.2022.2062460","url":null,"abstract":"<p><p>The objective of this article is to describe the current fracture between global trade and public health priorities, as well as examine opportunities for harmonisation. A literature review of public health, global trade, and intellectual property articles describes several issues with recommendations. Currently, there is mixed quality of research and a lack of health impact assessments to accompany the global trade agenda. Human rights concepts continue in debate as flexibilities to trade laws remain without organised surveillance or evaluation. There are specific, relevant recommendations to implement a trade agenda inclusive of public health leadership. Recent trade and intellctual property advances in public health collaborations should be supported and continued. Trade groups should produce impact assessments before decisions on policies are made, with quality to the research. Lastly, a global research and development treaty should be an open, accessed path.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10013560/pdf/THSS_12_2062460.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9643124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Wait!What does that mean?: Eliminating ambiguity of delays in healthcare from an OR/MS perspective. 等等!这是什么意思?从OR/MS的角度消除医疗保健延迟的模糊性。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2021.2018362
Maria Van Zyl-Cillié, Derya Demirtas, Erwin Hans
{"title":"Wait!What does that mean?: Eliminating ambiguity of delays in healthcare from an OR/MS perspective.","authors":"Maria Van Zyl-Cillié,&nbsp;Derya Demirtas,&nbsp;Erwin Hans","doi":"10.1080/20476965.2021.2018362","DOIUrl":"https://doi.org/10.1080/20476965.2021.2018362","url":null,"abstract":"<p><p>Waiting time in healthcare is a significant problem that occurs across the world and often has catastrophic effects. There are various terms used for waiting time (\"sojourn\", \"throughput\" etc.) and there is no consensus on how these terms are defined. Ambiguous definitions of waiting time make it difficult to compare and measure the problems related to waiting times and delays in healthcare. We present a systematic search and review of the Operations Research and Management Science (ORMS) literature on delays in healthcare services. We search for articles from 2004 to 2019 and base our search strategy on a well-known healthcare planning and control decision taxonomy. An important step towards reducing the ambiguity in the definitions is to distinguish between <i>access time</i> and <i>waiting time</i>. We provide clear definitions and examples of access time and waiting time, and we classify our search results according to three categories: article type, healthcare service investigated and ORMS technique used to solve the delay problem. We find that half of the ORMS research on the waiting and access time problem is done on Ambulatory Care services. We provide tables for each healthcare service that highlight key definitions, the techniques that are used most often and the healthcare environment where the research is done. This research highlights the significant ORMS research that is done on access and waiting time in healthcare as well as the remaining research opportunities. Moreover, it provides a common language for the ORMS community to solve critical waiting time issues in healthcare.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/a5/THSS_12_2018362.PMC10013540.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9500501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Understanding how physician perceptions of job demand and process benefits evolve during CPOE implementation. 了解在CPOE实施过程中，医生对工作需求和流程利益的看法是如何演变的。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2022.2113343
Arun Rai, Mark Keil, Hyoungyong Choi, Vitali Mindel
{"title":"Understanding how physician perceptions of job demand and process benefits evolve during CPOE implementation.","authors":"Arun Rai,&nbsp;Mark Keil,&nbsp;Hyoungyong Choi,&nbsp;Vitali Mindel","doi":"10.1080/20476965.2022.2113343","DOIUrl":"https://doi.org/10.1080/20476965.2022.2113343","url":null,"abstract":"<p><p>We examine how physicians' perceptions of two computerized provider order entry (CPOE) capabilities, standardisation of care protocols and documentation quality, are associated with their perceptions of turnaround time, medical error, and job demand at three phases of CPOE implementation: pre-go-live, initial use, and continued use. Through a longitudinal study at a large urban hospital, we find standardisation of care protocols is positively associated with turnaround time reduction in all phases but positively associated with job demand increase only in the initial use phase. Standardisation also has a positive association with medical error reduction in the initial use phase, but later this effect becomes fully mediated through turnaround time reduction in the continued use phase. Documentation quality has a positive association with medical error reduction in the initial use phase and this association strengthens in the continued use phase. Our findings provide insights to effectively manage physicians' response to CPOE implementation.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10013386/pdf/THSS_12_2113343.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10471915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Embedding OR modelling as decision support in health capacity planning: insights from an evaluation. 在卫生能力规划中嵌入OR建模作为决策支持:来自评估的见解。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2021.1983476
Sally Brailsford, Steffen Bayer, Con Connell, Abraham George, Jonathan Klein, Peter Lacey
{"title":"Embedding OR modelling as decision support in health capacity planning: insights from an evaluation.","authors":"Sally Brailsford,&nbsp;Steffen Bayer,&nbsp;Con Connell,&nbsp;Abraham George,&nbsp;Jonathan Klein,&nbsp;Peter Lacey","doi":"10.1080/20476965.2021.1983476","DOIUrl":"https://doi.org/10.1080/20476965.2021.1983476","url":null,"abstract":"<p><p>Literature reviews over five decades have reported the paucity of examples of OR methods being routinely used to support decision-making in health and social care. This paper presents insights from an independent evaluation of a project intended to overcome some of the barriers to implementation by establishing a \"community of practice\" in Kent (England). The project itself was undertaken by practitioners, and had two main aims: providing training in system dynamics modelling to analysts, and making senior managers aware of the benefits of modelling. The findings largely confirmed previous studies, but also raised issues about style of training delivery and selection of problems to be modelled. Project leaders fully understood the barriers to embedding OR modelling skills, and made considerable efforts to avoid them, but nevertheless the main barrier, pressures on people's time, remained an obstacle. The paper concludes with general reflections and advice.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/7f/THSS_12_1983476.PMC10013439.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9131148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Efficiency of malaria service delivery in selected district-level hospitals in Ghana. 加纳选定的区级医院提供疟疾服务的效率。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2021.2015251
Jacob Novignon, Genevieve Aryeetey, Justice Nonvignon, Keziah Malm, Nana Yaw Peprah, Samuel Agyei Agyemang, Samuel Amon, Moses Aikins
{"title":"Efficiency of malaria service delivery in selected district-level hospitals in Ghana.","authors":"Jacob Novignon,&nbsp;Genevieve Aryeetey,&nbsp;Justice Nonvignon,&nbsp;Keziah Malm,&nbsp;Nana Yaw Peprah,&nbsp;Samuel Agyei Agyemang,&nbsp;Samuel Amon,&nbsp;Moses Aikins","doi":"10.1080/20476965.2021.2015251","DOIUrl":"https://doi.org/10.1080/20476965.2021.2015251","url":null,"abstract":"<p><p>Malaria remains an important public health concern. Sub-Saharan African countries carry over 95% of the global burden. Unfortunately, there are also major resource constraints that have limited efforts to reduce the burden. Our study sought to estimate efficiency in the use of malaria resources and to identify potential determinants. We used primary data collected from district-level health facilities in three administrative regions in Ghana from 2014 to 2016. The Data Envelopment Analysis technique was used to estimate efficiency. The Malmquist productivity index was estimated and disaggregated to reflect the sources of productivity change. The findings show an average technical efficiency score of 0.61 with private facilities being more efficient. Productivity changes were driven by changes in technology/innovation advancements. Facility revenue mix and ownership type were important determinants of efficiency. The findings highlight the need to improve resource use in the delivery of specific services such as malaria.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208147/pdf/THSS_12_2015251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10248695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
A configurable computer simulation model for reducing patient waiting time in oncology departments. 一种可配置的计算机模拟模型，用于减少肿瘤部门的患者等待时间。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2022.2030655
Roberto Rosario Corsini, Antonio Costa, Sergio Fichera, Alessandro Pluchino
{"title":"A configurable computer simulation model for reducing patient waiting time in oncology departments.","authors":"Roberto Rosario Corsini,&nbsp;Antonio Costa,&nbsp;Sergio Fichera,&nbsp;Alessandro Pluchino","doi":"10.1080/20476965.2022.2030655","DOIUrl":"https://doi.org/10.1080/20476965.2022.2030655","url":null,"abstract":"<p><p>Nowadays, the increase in patient demand and the decline in resources are lengthening patient waiting times in many chemotherapy oncology departments. Therefore, enhancing healthcare services is necessary to reduce patient complaints. Reducing the patient waiting times in the oncology departments represents one of the main goals of healthcare managers. Simulation models are considered an effective tool for identifying potential ways to improve patient flow in oncology departments. This paper presents a new agent-based simulation model designed to be configurable and adaptable to the needs of oncology departments which have to interact with an external pharmacy. When external pharmacies are utilised, a courier service is needed to deliver the individual therapies from the pharmacy to the oncology department. An oncology department located in southern Italy was studied through the simulation model and different scenarios were compared with the aim of selecting the department configuration capable of reducing the patient waiting times.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208172/pdf/THSS_12_2030655.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
A simulation model to analyse automation scenarios in decontamination centers. 用于分析净化中心自动化场景的仿真模型。
IF 1.8
Health Systems Pub Date : 2023-01-01 DOI: 10.1080/20476965.2021.2004933
Marzieh Ghiyasinasab, Nadia Lahrichi, Nadia Lehoux
{"title":"A simulation model to analyse automation scenarios in decontamination centers.","authors":"Marzieh Ghiyasinasab,&nbsp;Nadia Lahrichi,&nbsp;Nadia Lehoux","doi":"10.1080/20476965.2021.2004933","DOIUrl":"https://doi.org/10.1080/20476965.2021.2004933","url":null,"abstract":"<p><p>Decontamination centres provide sterilisation services (sort, disinfect, package, and sterilise) for reusable surgical instruments that have a vital impact on patient safety. The market trend is to increase the level of automation in the decontamination process, to increase productivity, and reduce the risk of human error and musculoskeletal injuries. The goal of this research is to study the use of automated guided vehicles (AGVs) in sterilisation departments, to improve safety and efficiency. A generic simulation model is created based on data gathering of various decontamination centres and is validated for a specific centre to analyse various aspects of applying AGVs to automate the internal transfer. Centre's potential to increase capacity through AGV application is analysed and a Design of Experiments is conducted to identify the most promising implementation scenarios. Results show reductions in treatment time and work in process, while ,maintaining the accessibility of medical instruments, and ensuring worker safety.</p>","PeriodicalId":44699,"journal":{"name":"Health Systems","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208212/pdf/THSS_12_2004933.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10248698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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